|
Prq trluml c angiop 1art&/br
|
$4,402.50 |
$4,402.50 |
$4,402.50 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,618.00 |
$7,618.00 |
$7,618.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$7,618.00 |
$7,618.00 |
$7,618.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$631.00 |
$631.00 |
$631.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$206.50 |
$206.50 |
$206.50 |
$251.43
|
|
Pr removal intrauterine device
|
$236.00 |
$236.00 |
$236.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$584.00 |
$584.00 |
$584.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$382.50 |
$382.50 |
$382.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$478.00 |
$478.00 |
$478.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$415.50 |
$415.50 |
$415.50 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$478.00 |
$478.00 |
$478.00 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,813.50 |
$2,813.50 |
$2,813.50 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$1,720.93
|
|
PSA (Prostate) Test
|
$84.00 |
$84.00 |
$84.00 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$14.00 |
$14.00 |
$14.00 |
$51.15
|
|
Psychoeducation 45 min +
|
$74.00 |
$74.00 |
$74.00 |
$201.45
|
|
Psychotherapy group therapy
|
$78.00 |
$78.00 |
$78.00 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$114.50 |
$114.50 |
$114.50 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$247.00 |
$247.00 |
$247.00 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$308.50 |
$308.50 |
$308.50 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$231.00 |
$231.00 |
$231.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$155.00 |
$155.00 |
$155.00 |
$221.42
|
|
Psychthrp grp 45-50min mcr
|
$100.50 |
$100.50 |
$100.50 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$180.00 |
$180.00 |
$180.00 |
$321.60
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$55.50 |
$55.50 |
$55.50 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$37.00 |
$37.00 |
$37.00 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$15.00 |
$15.00 |
$15.00 |
$123.63
|
|
Psytx complex interactive
|
$19.00 |
$19.00 |
$19.00 |
$47.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$26.50 |
$26.50 |
$26.50 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$69.00 |
$69.00 |
$69.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$30.50 |
$30.50 |
$30.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$40.50 |
$40.50 |
$40.50 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$228.50 |
$228.50 |
$228.50 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$164.00 |
$164.00 |
$164.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$207.50 |
$207.50 |
$207.50 |
$254.88
|
|
Pt re-evaluation patient/family
|
$90.00 |
$90.00 |
$90.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$124.00 |
$124.00 |
$124.00 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$49.00 |
$49.00 |
$49.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$50.50 |
$50.50 |
$50.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$79.00 |
$79.00 |
$79.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$31.00 |
$31.00 |
$31.00 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$207.50 |
$207.50 |
$207.50 |
$344.00
|
|
Pulse ox multiple
|
$213.50 |
$213.50 |
$213.50 |
$156.40
|
|
Pulse ox single
|
$38.50 |
$38.50 |
$38.50 |
$81.70
|
|
Punc of shunt for asp or inj
|
$467.00 |
$467.00 |
$467.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$60.00 |
$60.00 |
$60.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$274.00 |
$274.00 |
$274.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$758.00 |
$758.00 |
$758.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$90.04 |
$90.04 |
$90.04 |
$304.50
|
|
Pvb thoracic 2nd+ inj site
|
$80.50 |
$80.50 |
$80.50 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,312.00 |
$1,312.00 |
$1,312.00 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,312.00 |
$1,312.00 |
$1,312.00 |
$1,320.80
|
|
Pyruvate
|
$48.50 |
$48.50 |
$48.50 |
$66.00
|
|
Pyruvate kinase
|
$78.00 |
$78.00 |
$78.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$785.00 |
$785.00 |
$785.00 |
$1,199.16
|
|
Quest t3 uptake
|
$30.50 |
$30.50 |
$30.50 |
$52.25
|
|
Radiation handling
|
$116.00 |
$116.00 |
$116.00 |
$324.80
|
|
Radiation physics consult
|
$478.00 |
$478.00 |
$478.00 |
$606.50
|
|
Radiation therapy dose plan
|
$265.00 |
$265.00 |
$265.00 |
$514.05
|
|
Radiation therapy management
|
$415.00 |
$415.00 |
$415.00 |
$199.20
|
|
Radiation treatment aid(s)
|
$246.50 |
$246.50 |
$246.50 |
$520.00
|
|
Radiation treatment aid(s)
|
$432.00 |
$432.00 |
$432.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$587.00 |
$587.00 |
$587.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$316.00 |
$316.00 |
$316.00 |
$552.40
|
|
Radiation treatment delivery
|
$493.00 |
$493.00 |
$493.00 |
$920.00
|
|
Radiology port images(s)
|
$122.50 |
$122.50 |
$122.50 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,450.00 |
$2,450.00 |
$2,450.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,450.00 |
$2,450.00 |
$2,450.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,670.50 |
$1,670.50 |
$1,670.50 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,450.00 |
$2,450.00 |
$2,450.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$544.50 |
$544.50 |
$544.50 |
$1,120.50
|
|
Rapid Strep Test
|
$58.50 |
$58.50 |
$58.50 |
$75.24
|
|
Rbc deglycerolized each unit
|
$964.00 |
$964.00 |
$964.00 |
$841.75
|
|
Rbc serum pretx incubj drugs
|
$227.50 |
$227.50 |
$227.50 |
$235.00
|
|
Red blood cells each unit
|
$371.00 |
$371.00 |
$371.00 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$549.00 |
$549.00 |
$549.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$573.50 |
$573.50 |
$573.50 |
$528.45
|
|
Red blood cells washed each unit
|
$779.50 |
$779.50 |
$779.50 |
$572.46
|
|
Refill maint impl spine pump
|
$346.50 |
$346.50 |
$346.50 |
$366.60
|
|
Relocation skin pocket aicd
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$2,585.00
|
|
Rem endovas vena cava filter
|
$4,202.00 |
$4,202.00 |
$4,202.00 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$65.00 |
$65.00 |
$65.00 |
$99.00
|
|
Rem interrog dev eval scrms
|
$65.00 |
$65.00 |
$65.00 |
$101.25
|
|
Rem interrog evl pm/ids
|
$172.50 |
$172.50 |
$172.50 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$284.00 |
$284.00 |
$284.00 |
$683.25
|
|
Removal biliary drg cath
|
$803.00 |
$803.00 |
$803.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$2,356.71
|
|
Removal cerclage w/anes
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$3,762.53
|
|
Removal cerclage without anes
|
$340.00 |
$340.00 |
$340.00 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$209.00 |
$209.00 |
$209.00 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$3,417.50 |
$3,417.50 |
$3,417.50 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$349.50 |
$349.50 |
$349.50 |
$249.60
|
|
Removal duct glbldr calculi
|
$3,158.00 |
$3,158.00 |
$3,158.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$426.50 |
$426.50 |
$426.50 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$1,854.00 |
$1,854.00 |
$1,854.00 |
$2,446.00
|
|
Removal foreign body foot subcutaneous right
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$1,256.00
|
